腹腔镜外科杂志2013，Vol.18Issue(7)：494-496,3.
自制通道单孔后腹腔镜输尿管切开取石术的初步应用体会
Initial experience of retroperitoneal laparoscopic single-site ureterolithotomy using self-made port
摘要
Abstract
Objective:To investigate the feasibility and safety of retroperitoneal laparoscopic single-site surgery for ureterolithotomy using a self-made port.Methods:The retrospective analysis was made on the clinical data of 23 patients with upper ureteral calculi who underwent retroperitoneal laparoscopic single-site ureterolithotomy by a self-made port from Jun.2011 to Dec.2012 and these patients were followed up.Results:Twenty-three cases of surgery were successfully completed without conversion to open or standard laparoscopic surgery.The average diameter of the calculus was (17 ± 2.4) mm,the mean operative time was (112.8 ± 21.6) min,the mean estimated blood loss was (34.3 ± 11.3) ml,and no major complication occurred during surgery.The post-operative pain score in the first post-operative day was (0.5 ± 2.4),therefore,none of these patients received analgesic after surgery.The mean post-operative hospital stay was (4.4 ± 0.6) d.Two cases had urine leakage after operation,but recovered after the third postoperative day.And there was no recurrent stone or ureteric stricture.Conclusions:The retroperitoneal laparoscopic single-site surgery for ureterolithotomy using self-made port is a safe and effective treatment for ureteral calculi.Definite diagnoses,good understanding of retroperitoneal anatomy,technical proficiency in laparoscopic surgery,improved self-made single-site laparoscopic apparatus,and good care of complications are keys for successful operation.关键词
输尿管结石/输尿管切开取石术/腹腔镜检查/单孔/腹膜后路径/自制套管Key words
Ureteral calculi / Ureterolithotomy / Laparoscopy/ Single-port / Retroperitoneal approach/ Self-made port分类
医药卫生引用本文复制引用
常德辉,张斌,王养民,蓝天,高新,杨旭凯,张伟君,苗鹏程..自制通道单孔后腹腔镜输尿管切开取石术的初步应用体会[J].腹腔镜外科杂志,2013,18(7):494-496,3.基金项目
兰州市科技计划项目(编号:2010-1-89) （编号:2010-1-89）
